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ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking Methadone with azithromycin!

Before using:

Some medicines or medical conditions may interact with Azithromycin 500mg. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE AZITHROMYCIN 500mg if you are also taking dofetilide, nilotinib, propafenone, pimozide, or tetrabenazine. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking antiarrhythmics (eg, disopyramide), anticoagulants (eg, warfarin), arsenic, astemizole, carbamazepine, cisapride, digoxin, domperidone, maprotiline, METHADONE, nelfinavir, cyclosporine, ergot alkaloids (eg, ergotamine), paliperidone, phenytoin, quinolones (eg, levofloxacin), rifampin, terfenadine, theophylline, triazolam, tyrosine kinase inhibitors (eg, dasatinib), or medicines that may affect your heartbeat. Ask your doctor if you are unsure if any of the medicines you are taking may affect your heartbeat. Inform your doctor of any other medical conditions including irregular heartbeat, kidney problems, liver problems, myasthenia gravis, allergies, pregnancy or breastfeeding. Contact your doctor or pharmacist if you have any questions or concerns about taking Azithromycin 500mg.

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ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking Methadone with azithromycin!

Before using:

Some medicines or medical conditions may interact with Azithromycin 500mg. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE AZITHROMYCIN 500mg if you are also taking dofetilide, nilotinib, propafenone, pimozide, or tetrabenazine. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking antiarrhythmics (eg, disopyramide), anticoagulants (eg, warfarin), arsenic, astemizole, carbamazepine, cisapride, digoxin, domperidone, maprotiline, METHADONE, nelfinavir, cyclosporine, ergot alkaloids (eg, ergotamine), paliperidone, phenytoin, quinolones (eg, levofloxacin), rifampin, terfenadine, theophylline, triazolam, tyrosine kinase inhibitors (eg, dasatinib), or medicines that may affect your heartbeat. Ask your doctor if you are unsure if any of the medicines you are taking may affect your heartbeat. Inform your doctor of any other medical conditions including irregular heartbeat, kidney problems, liver problems, myasthenia gravis, allergies, pregnancy or breastfeeding. Contact your doctor or pharmacist if you have any questions or concerns about taking Azithromycin 500mg.

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Some common side effects reported with this medicine include: * Drowsiness, * headache, * ataxia, * vertigo, * fatigue, * diplopia, * dizziness, * nausea, * vomiting, * allergic skin reactions, * edema, * fluid retention, * dry mouth, * leucopenia, * eosinophilia. * Rarely, serious hematologic, hepatic, cardiovascular and dermatologic reactions * Tell your doctor and pharmacist if you are allergic to Epival or any other drugs. * Talk with your physician or pharmacist if you are taking other medications. * tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially other seizure medications, acetaminophen (Tylenol), astemizole (Hismanal), clarithromycin (Biaxin), danazol (Danocrine), diltiazem (Cardiazem), doxycycline (Vibramycin), erythromycin, haloperidol (Haldol), isoniazid (INH), lithium, medications for colds or allergies such as chlorpheniramine (Chlor-Trimeton), medications for depression such as amitriptyline (Elavil) and fluoxetine (Prozac), oral contraceptives, propoxyphene (Darvon), sedatives such as phenobarbital, terfenadine (Seldane), theophylline (Theo-Dur), verapamil (Calan), and vitamins. Carbamazepine affects the action of other medications, and many medications can affect the action of Epival. Tell your doctor and pharmacist everything you are taking. * do not take Epival liquid at the same time as any other liquid medications. * tell your doctor if you have or have ever had heart, kidney, or liver disease; glaucoma; high blood pressure; or a history of blood clots or blood disorders. * tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Epival, call your doctor immediately. Epival may harm the fetus. * if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking carbamazepine. * you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you. * remember that alcohol can add to the drowsiness caused by this drug. * plan to avoid unnecessary or prolonged exposure to sunlight and to wear protective clothing, sunglasses, and sunscreen. Epival may make your skin sensitive to sunlight. Seek medical attention immediately. For non emergencies, contact your local or regional poison control center. Take your next dose as soon as you remember. If it is time for your next dose, skip the missed dose and go back to your regular schedule. Do not take a double dose to make up for a missed one. Keep this medication in the container it came in, tightly closed, and out of the reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication. 200 mg tablets, 100 mg and 200 mg Chewtabs, 200 mg and 400 mg CR (controlled-release) tablets, 100 mg/5mL oral suspension. The above is quoted from the website linked below.

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It depends on the bacteria causing the infection. Most common use is strep or staph; but LGV can cause LGV urethra infection that is caused by - Chlamydia trachomatis (or) UTI - Mycoplasma hominis -

Erythromycin is an antibiotic approved to treat a wide range of infections caused by bacteria, such as streptococcal infections of the skin, ears, and sinuses, pneumococcal pneumonia, chlamydia, bronchitis; diphtheria; pneumonia; rheumatic fever;, certain venereal diseases, and other infections. UTI - Mycoplasma hominis -

Lymphogranuloma venereum: (LGV). An uncommon genital or anorectal (affecting the anus and/or rectum) or urethra infection that is caused by Chlamydia trachomatis.

Once LGV is diagnosed, it is usually treated with doxycycline 100 mg twice per day by mouth for 21 days. If this is not an option, for example, because of intolerance to the drug, erythromycin base 500 mg four times per day by mouth for 21 days can be used as an alternative.

A person who has been sexually exposed to a person with LGV should be examined for signs or symptoms of LGV, as well as for chlamydial infection of the urethra, since the LGV and urethral strains (types) of Chlamydia trachomatis can co-exist. If exposure occurred within 30 days of the onset of their partner's symptoms of LGV, the exposed person should be treated.

MRSA (Methicillin-Resistant Staphylococcus aureus) Infections - Drug-Induced Liver Disease - Strep Throat (Streptococcus bacteria) - Rheumatic Fever (streptococcal infection) - Whooping Cough (Bordetella pertussis) - Infectious Mononucleosis (strep A,mycoplasma, neisseria, and strep bacteria other than group A) - Pink Eye (Staphylococci and Streptococci) - diarrhea disease - Campylobacter

Erythromycin is an antibiotic approved to treat a wide range of infections caused by bacteria, such as streptococcal infections of the skin, ears, and sinuses, pneumococcal pneumonia, chlamydia, bronchitis; diphtheria; pneumonia; rheumatic fever; diarrhea disease - Campylobacter, certain venereal diseases, and other infections.

ORIGINAL USES (ON-LABEL): Various bacterial infections BRAND NAME- Ilosone

- GENERIC NAME Erythromycin - CHEMICAL CLASS - Macrolide derivative

THERAPEUTIC CLASS - Antibiotic (macrolide) oral, topical, intravenous, eye.

POTENTIAL SIDE EFFECTS Systemic: Irregular heart rate (ventricular arrhythmias, QT prolongation), headache, fever, seizures, rash, abdominal pain, cramping, nausea, oral yeast infection, vomiting, jaundice,

CAUTIONS: Do not use if you have pre-existing liver disease and use with caution if you have reduced liver function. - Do not use concomitantly with ergot derivatives, pimozide, astemizole, or cisapride.- May aggravate myasthenia gravis.

NEWLY DISCOVERED USES (OFF-LABEL)

Acne, chancroid, cholera, diarrhea due to Campylobacter, gingivitis, granuloma inguinale, impetigo, Lyme disease, lymphogranuloma venereum (AKA UTI), periodontitis.

FOOD INTERACTIONS: Avoid alcohol. The absorption of some erythromycin formulations are affected by food. Er. stearate should be taken at least two hours before or after a meal. Er. estolate, er. ethylsuccinate and erythromycin base may be taken without regard to meals.

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Grapefruit has a lot of Vitamin C plus some enzymes that seem to speed up things . (For a while back in the 60's- grapefruit was thought to be a fat burner. )

Some antibiotics i.e. Erythromycin and other drugs which are in this class (the Not Pencillins) do not mix well at all, especially with Garpefruit. So those of you who take Erythromycin because of your pencillin allergies should be careful; especially when taking megadoses of Vitamin C or eating grapefruit.

The end result is your liver gets a big buildup of drugs it cannot handle - you are actually poisoning your self because the drugs are not working properly.

Here is the science: Erythromycin competes - It does the exact same thing as Vitamin C: it inhibits the cytochrome P450 system, particularly the CYP3A4 isozyme, which can cause it to affect the metabolism of many different drugs, not just Vitamin C.

I am not the pharmacist- just a smart nutritionist student who knows biochemistry. When I graduate I will sign this. In the meantime you are provided with the following

quoted directly from a professional source D.McAuley,

with references GlobalRPH.com

His site is a great study guide as well. Just always give him credit because he has copyrighted the site.

" Grapefruit juice is a potent inhibitor of the intestinal cytochrome P-450 3A4 system (specifically: CYP3A4 - mediated drug metabolism) which is responsible for the first-pass metabolism of many medications. This interaction can lead to increases in bioavailability and corresponding increases in serum drug levels.

In many cases, the increased serum drug levels can produce some readily observable symptoms. Here are a few examples of adverse effects that are possible when the following medications are taken concurrently with grapefruit.

(1) Excessive sedation: benzodiazepines.

(2) Increased risk of rhabdomyolyis: HMG-CoA reductase inhibitors (statins)-- there are some exceptions.

(3) Symptomatic hypotension: dihydropyridine calcium antagonists (some exceptions exist). (4) QT interval prolongation: astemizole, cisapride, pimozide, terfenadine. "Drug interactions may be most apparent when patients are stabilized on the affected drug and the CYP3A4 inhibitor is then added to the regimen." 5

CONVERSELY THE VITAMIN C THAT IS FACILITATED BY THE ENZYMES IN GRAPEFRUIT IS NOT ALL BAD>>>> the problem is that the drugs you take work on the same enzyme activation sites or pathways and only one thing can work well at a time or in the case of some drugs like the heart medicines the heartbeat is sped up or slowed down which is NOT what the doctor ordered when he put you on the medication.

There may be some pharmacological advantages to this interaction. If the interaction is taken into account during the initialization of drug therapy it is possible to decrease drug dosages. This concept can be applied to cyclosporine therapy. If a patient regularly consumes grapefruit, lower dosages of cyclosporine will be required, which will lead to lower drug costs.

IN CONCLUSION

Grapefruit juice is not the only inhibitor of this enzyme system. Other drugs which have a similar effect include: clarithromycin (Biaxin ®), erythromycin (E-Mycin ®, others), itraconazole (Sporonox ®), ketoconazole (Nizoril ®), nefazodone (Serzone ®), and ritonavir (Norvir ®). "

References:

1.

Bailey DG, Dresser GK. Grapefruit juice-lovastatin interaction. Clin Pharmacol Ther. 2000 Jun;67(6):6902.

Bistrup C, Nielsen FT, Jeppesen UE, Dieperink H. Effect of grapefruit juice on Sandimmun Neoral absorption among stable renal allograft recipients. Nephrol Dial Transplant. 2001 Feb;16(2):373-7.3.

Bramer SL, Brisson J, Corey AE. Effect of multiple cilostazol doses on single dose lovastatin pharmacokinetics in healthy volunteers. Clin Pharmacokinet. 1999;37 Suppl 2:69-77.4.Damkier P, Hansen LL, Brosen K. Effect of diclofenac, disulfiram, itraconazole, grapefruit juice and erythromycin on the pharmacokinetics of quinidine. Br J Clin Pharmacol. 1999 Dec;48(6):829-38.5.

Dresser GK, Spence JD, Bailey DG. Pharmacokinetic-pharmacodynamic consequences and clinical relevance of cytochrome P450 3A4 inhibition. Clin Pharmacokinet. 2000 Jan;38(1):41-57.6.

Dresser GK, Bailey DG, Carruthers SG. Grapefruit juice--felodipine interaction in the elderly. Clin Pharmacol Ther. 2000 Jul;68(1):28-34.7.Eagling VA, Profit L, Back DJ. Inhibition of the CYP3A4-mediated metabolism and P-glycoprotein-mediated transport of the HIV-1 protease inhibitor saquinavir by grapefruit juice components. Br J Clin Pharmacol. 1999 Oct;48(4):543-52.8.

Evans AM. Influence of dietary components on the gastrointestinal metabolism and transport of drugs Ther Drug Monit. 2000 Feb;22(1):131-6.9.

Fukuda K, Guo L, Ohashi N, Yoshikawa M, Yamazoe Y. Amounts and variation in grapefruit juice of the main components causing grapefruit-drug interaction. J Chromatogr B Biomed Sci Appl. 2000 May 12;741(2):195-203.10.

Fuhr U. [Clinically significant" new drug interactions]. Med Klin. 2000 May;95(1 Spec No):18-22.11.

Fuhr U, Maier-Bruggemann A, Blume H, Muck W, Unger S, Kuhlmann J, Huschka C, Zaigler M, Rietbrock S, Staib AH. Grapefruit juice increases oral nimodipine bioavailability. Int J Clin Pharmacol Ther. 1998 Mar;36(3):126-32.12.

Garg SK, Kumar N, Bhargava VK, Prabhakar SK. Effect of grapefruit juice on carbamazepine bioavailability in patients with epilepsy. Clin Pharmacol Ther. 1998 Sep;64(3):286-8.13.Kanazawa S, Ohkubo T, Sugawara K. The effects of grapefruit juice on the pharmacokinetics of erythromycin. Eur J Clin Pharmacol. 2001 Jan-Feb;56(11):799-803.14.

Kane GC, Lipsky JJ. Drug-grapefruit juice interactions. Mayo Clin Proc. 2000 Sep;75(9):933-42.15.

Lee AJ, Chan WK, Harralson AF, Buffum J, Bui BC. The effects of grapefruit juice on sertraline metabolism: an in vitro and in vivo study. Clin Ther. 1999 Nov;21(11):1890-9.16.Lilja JJ, Kivisto KT, Neuvonen PJ. Grapefruit juice increases serum concentrations of atorvastatin and has no effect on pravastatin. Clin Pharmacol Ther. 1999 Aug;66(2):118-27.17.Lilja JJ, Kivisto KT, Backman JT, Lamberg TS, Neuvonen PJ. Grapefruit juice substantially increases plasma concentrations of buspirone. Clin Pharmacol Ther. 1998 Dec;64(6):655-60.18.

Lilja JJ, Kivisto KT, Neuvonen PJ. Duration of effect of grapefruit juice on the pharmacokinetics of the CYP3A4 substrate simvastatin. Clin Pharmacol Ther. 2000 Oct;68(4):384-90.19.

Lilja JJ, Kivisto KT, Backman JT, Neuvonen PJ. Effect of grapefruit juice dose on grapefruit juice-triazolam interaction: repeated consumption prolongs triazolam half-life. Eur J Clin Pharmacol. 2000 Aug;56(5):411-5.20.

Libersa CC, Brique SA, Motte KB, Caron JF, Guedon-Moreau LM, Humbert L, Vincent A, Devos P, Lhermitte MA. Dramatic inhibition of amiodarone metabolism induced by grapefruit juice. Br J Clin Pharmacol. 2000 Apr;49(4):373-8.21.

Mitsunaga Y, Takanaga H, Matsuo H, Naito M, Tsuruo T, Ohtani H, Sawada Y. Effect of bioflavonoids on vincristine transport across blood-brain barrier. Eur J Pharmacol. 2000 May 3;395(3):193-201.22.

Ozdemir M, Aktan Y, Boydag BS, Cingi MI, Musmul A. Interaction between grapefruit juice and diazepam in humans. Eur J Drug Metab Pharmacokinet. 1998 Jan-Mar;23(1):55-9.23.

Singh BN. Effects of food on clinical pharmacokinetics. Clin Pharmacokinet. 1999 Sep;37(3):213-55. Review.24.

Zhang H, Wong CW, Coville PF, Wanwimolruk S. Effect of the grapefruit flavonoid naringin on pharmacokinetics of quinine in rats. Drug Metabol Drug Interact. 2000;17(1-4):351-63.

© D.McAuley, GlobalRPH.com 2001

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Lack of energy, weight gain, increased appietite, legergy, tired. I've gained at least 30 pounds since last summer when they put me on it, but it's saved my life as I am no longer manic

My wife had the following side effect after took this medicine for two years. Cannot control the urine, walk very slow like 90 years woman, hand trembling, loss memory. After stopping this medicine, all of the problem went away.

AnswerDEPAKOTE can cause stomach upset,,tiredness,,loss of appetite,, to name a few. HOWEVER, a big concern with DEPAKOTE is LIVER FUNCTION. Anyone taking Depakote should have regular blood tests (every 3-6 months), especially in the begining. If you notice yellowing of the skin or eyes, CONTACT your Dr. Yellowing indicates inflamation of the liver. NEVER discontinue Depakote all at once. If there is a problem, your Dr. will set up a reduction schedule, to stop it GRADUALLY. AnswerThe mos common side effects for everyone is really different since medications react different to all of us... but this is what is out there. More common

body aches or pain ; congestion; cough; dryness or soreness of throat; fever ; hoarseness runny nose; tender, swollen glands in neck ; trouble in swallowing; voice changes

Less common

Abdominal or stomach cramps (severe); behavioral, mood, or mental changes; blurred vision;; confusion; ; continuous, uncontrolled back-and-forth and/or rolling eye movements; earache, redness or swelling in ear; dizziness,; double vision; faintness, or light-headedness when getting up from a lying or sitting position suddenly; sweating; unusual tiredness or weakness; fast, irregular, pounding, or racing heartbeat or pulse; heavy, nonmenstrual vaginal bleeding; increase in seizures; loss of appetite; nausea or vomiting (continuing); rapid weight gain; spots before eyes; swelling of face, arms, hands, lower legs, or feet; tingling of hands or feet; tiredness and weakness; unusual bleeding or bruising; unusual weight gain or loss; vomiting of blood or material that looks like coffee grounds; yellow eyes or skin

More common... these dont require medical attention but you should let your doctor know.

Abdominal or stomach cramps (mild); acid or sour stomach; belching; heartburn; indigestion; stomach discomfort, upset or pain; change in menstrual periods; crying paranoia; quick to react or overreact emotionally; rapidly changing moods; depersonalization; dysphoria; diarrhea; euphoria; hair loss; indigestion; lack or loss of strength; loss of appetite; loss of bowel control; mental depression; nausea and vomiting; paranoia; quick to react or overreact emotionally; rapidly changing moods; sleepiness or unusual drowsiness; trembling of hands and arms; unusual weight loss or gain

If you experience any of these side effects, let your doctor know right away, if any of the side effects become bothersome or not listed above call your doctor.

Less common or rare

Absence of or decrease in body movement; absent, missed, or irregular menstrual periods; stopping of menstrual bleeding; anxiety; nervousness; restlessness; bloated full feeling; bloody or cloudy urine; bloody nose; bruising; burning, crawling, itching, numbness, prickling, "pins and needles" , or tingling feelings; burning, dry or itching eyes; change in taste; chills; clumsiness or unsteadiness; coin-shaped lesions on skin; cold sweats; confusion; constipation; cramps; decreased awareness or responsiveness; degenerative disease of the joint; difficult, burning, or painful urination; difficulty in moving; discharge; excessive tearing of eye; discouragement; dizziness; drowsiness; dry mouth; excess air or gas in stomach or intestines; excessive muscle tone; muscle tension or tightness; muscle stiffness; feeling of constant movement of self or surroundings; feeling sad or empty; feeling of warmth or heat; ; flushing or redness of skin, especially on face and neck; frequent urge to urinate; headache; heavy bleeding; irregular heartbeats; irritability; joint pain; swollen joints; lack of appetite; lip smacking ; uncontrolled chewing movements; loss of hair; loss of interest or pleasure; loss of memory; problems with memory; mimicry of speech or movements; muscle aching or cramping; muscle pains or stiffness; mutism; negativism; normal menstrual bleeding occurring earlier, possibly lasting longer than expected; pain; passing gas; peculiar postures or movements, mannerisms or grimacing; puffing of cheeks; rapid or worm-like movements of tongue; redness, swelling, or soreness of tongue; severe sleepiness; shortness of breath; difficult or labored breathing; small red or purple spots on skin; stuffy nose; runny nose; sneezing; redness, pain, swelling of eye, eyelid, or inner lining of eyelid; seeing, hearing, or feeling things that are not there; sensation of spinning; shaking; shortness of breath; hyperventilation; skin rash; sweating; tightness in chest; tiredness; trouble concentrating; trouble in speaking; slurred speech; trouble sleeping; uncontrolled chewing movements; uncontrolled movements of arms and legs; unusual excitement, restlessness, or irritability; wheezing

AnswerThe mos common side effects for everyone is really different since medications react different to all of us... but this is what is out there. More common

body aches or pain ; congestion; cough; dryness or soreness of throat; fever ; hoarseness runny nose; tender, swollen glands in neck ; trouble in swallowing; voice changes

Less common

Abdominal or stomach cramps (severe); behavioral, mood, or mental changes; blurred vision;; confusion; ; continuous, uncontrolled back-and-forth and/or rolling eye movements; earache, redness or swelling in ear; dizziness,; double vision; faintness, or light-headedness when getting up from a lying or sitting position suddenly; sweating; unusual tiredness or weakness; fast, irregular, pounding, or racing heartbeat or pulse; heavy, nonmenstrual vaginal bleeding; increase in seizures; loss of appetite; nausea or vomiting (continuing); rapid weight gain; spots before eyes; swelling of face, arms, hands, lower legs, or feet; tingling of hands or feet; tiredness and weakness; unusual bleeding or bruising; unusual weight gain or loss; vomiting of blood or material that looks like coffee grounds; yellow eyes or skin

More common... these dont require medical attention but you should let your doctor know.

Abdominal or stomach cramps (mild); acid or sour stomach; belching; heartburn; indigestion; stomach discomfort, upset or pain; change in menstrual periods; crying paranoia; quick to react or overreact emotionally; rapidly changing moods; depersonalization; dysphoria; diarrhea; euphoria; hair loss; indigestion; lack or loss of strength; loss of appetite; loss of bowel control; mental depression; nausea and vomiting; paranoia; quick to react or overreact emotionally; rapidly changing moods; sleepiness or unusual drowsiness; trembling of hands and arms; unusual weight loss or gain

If you experience any of these side effects, let your doctor know right away, if any of the side effects become bothersome or not listed above call your doctor.

Less common or rare

Absence of or decrease in body movement; absent, missed, or irregular menstrual periods; stopping of menstrual bleeding; anxiety; nervousness; restlessness; bloated full feeling; bloody or cloudy urine; bloody nose; bruising; burning, crawling, itching, numbness, prickling, "pins and needles" , or tingling feelings; burning, dry or itching eyes; change in taste; chills; clumsiness or unsteadiness; coin-shaped lesions on skin; cold sweats; confusion; constipation; cramps; decreased awareness or responsiveness; degenerative disease of the joint; difficult, burning, or painful urination; difficulty in moving; discharge; excessive tearing of eye; discouragement; dizziness; drowsiness; dry mouth; excess air or gas in stomach or intestines; excessive muscle tone; muscle tension or tightness; muscle stiffness; feeling of constant movement of self or surroundings; feeling sad or empty; feeling of warmth or heat; ; flushing or redness of skin, especially on face and neck; frequent urge to urinate; headache; heavy bleeding; irregular heartbeats; irritability; joint pain; swollen joints; lack of appetite; lip smacking ; uncontrolled chewing movements; loss of hair; loss of interest or pleasure; loss of memory; problems with memory; mimicry of speech or movements; muscle aching or cramping; muscle pains or stiffness; mutism; negativism; normal menstrual bleeding occurring earlier, possibly lasting longer than expected; pain; passing gas; peculiar postures or movements, mannerisms or grimacing; puffing of cheeks; rapid or worm-like movements of tongue; redness, swelling, or soreness of tongue; severe sleepiness; shortness of breath; difficult or labored breathing; small red or purple spots on skin; stuffy nose; runny nose; sneezing; redness, pain, swelling of eye, eyelid, or inner lining of eyelid; seeing, hearing, or feeling things that are not there; sensation of spinning; shaking; shortness of breath; hyperventilation; skin rash; sweating; tightness in chest; tiredness; trouble concentrating; trouble in speaking; slurred speech; trouble sleeping; uncontrolled chewing movements; uncontrolled movements of arms and legs; unusual excitement, restlessness, or irritability; wheezing

EpivalSome common side effects reported with this medicine include:
  • Drowsiness,
  • headache,
  • ataxia,
  • vertigo,
  • fatigue,
  • diplopia,
  • dizziness,
  • nausea,
  • vomiting,
  • allergic skin reactions,
  • edema,
  • fluid retention,
  • dry mouth,
  • leucopenia,
  • eosinophilia.
  • Rarely, serious hematologic, hepatic, cardiovascular and dermatologic reactions
Warnings and precautions for Epival:
  • Tell your doctor and pharmacist if you are allergic to Epival or any other drugs.
  • Talk with your physician or pharmacist if you are taking other medications.
  • tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially other seizure medications, acetaminophen (Tylenol), astemizole (Hismanal), clarithromycin (Biaxin), danazol (Danocrine), diltiazem (Cardiazem), doxycycline (Vibramycin), erythromycin, haloperidol (Haldol), isoniazid (INH), lithium, medications for colds or Allergies such as chlorpheniramine (Chlor-Trimeton), medications for depression such as amitriptyline (Elavil) and fluoxetine (Prozac), oral contraceptives, propoxyphene (Darvon), sedatives such as phenobarbital, terfenadine (Seldane), theophylline (Theo-Dur), verapamil (Calan), and vitamins. Carbamazepine affects the action of other medications, and many medications can affect the action of Epival. Tell your doctor and pharmacist everything you are taking.
  • do not take Epival liquid at the same time as any other liquid medications.
  • tell your doctor if you have or have ever had heart, kidney, or liver disease; glaucoma; high blood pressure; or a history of blood clots or blood disorders.
  • tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Epival, call your doctor immediately. Epival may harm the fetus.
  • if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking carbamazepine.
  • you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you.
  • remember that alcohol can add to the drowsiness caused by this drug.
  • plan to avoid unnecessary or prolonged exposure to sunlight and to wear protective clothing, sunglasses, and sunscreen. Epival may make your skin sensitive to sunlight.
What to do if you take Overdose of Epival?Seek medical attention immediately. For non emergencies, contact your local or regional poison control center. What to do if you take Missed Dose of Epival?Take your next dose as soon as you remember. If it is time for your next dose, skip the missed dose and go back to your regular schedule. Do not take a double dose to make up for a missed one. How to Store Epival:Keep this medication in the container it came in, tightly closed, and out of the reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication. Epival is available as:200 mg tablets, 100 mg and 200 mg Chewtabs, 200 mg and 400 mg CR (controlled-release) tablets, 100 mg/5mL oral suspension.

The above is quoted from the website linked below.

Answer

I take the 500mg pill twice a day for epilepsy. Ever since I first started taking it very common side effects include:

Increase in Appetite (ie: feeling hungry often)

Weight Gain

Tired and Drowsy (ie: easily falling asleep and having a hard time getting out of bed)

Dizziness (ie: feels like you're rocking back and forth while standing still)

Problems with Balance (ie: Can't stay still on 1 foot)

Digestive Problems (ie: diarea, loose stool, very soft stool)

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